Approach to otitis externa in Australian general practice.

Abstract

Acute otitis externa (AOE) is an inflammatory condition of the outer ear seen in Australian general practice and isprevalent in tropical climates like NorthQueensland. This article aims to delineate key facets ofAOE, identify high-risk populations andpropose a streamlined management approach aligned with the American Academy of Otolaryngology Head and Neck Surgery (AAO-HNS) guideline, emphasising the role of primary care inoptimal patient care. Outlined within this article are key elements of AOE, from anatomy to riskfactors, examination, diagnosis, differentials, management, prevention andindications for referral. Emphasis isplaced on topical antibiotic use, drugdelivery techniques and recognising refractory cases. The importance of early intervention is highlighted to prevent complications, particularly in at-risk populations, aligned with AAO-HNS guidelines and enhancing general practice's role in mitigating AOE-related complications.